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The link between medical performance and composition of patient base: An econometric study of Ile-de-France doctors
[Les liens entre la performance médicale et la composition de la patientèle : une étude économétrique sur les médecins d’Ile de France]

Author

Listed:
  • Nicolas da Silva

    (EconomiX - EconomiX - UPN - Université Paris Nanterre - CNRS - Centre National de la Recherche Scientifique)

  • Laetitia Fleury

    (Service médical d’assurance maladie [Ile-de-France])

  • Philippe Batifoulier

    (EconomiX - EconomiX - UPN - Université Paris Nanterre - CNRS - Centre National de la Recherche Scientifique)

  • Jean-Louis Vanhille

    (Service médical d’assurance maladie [Ile-de-France])

  • Pierre-Henri Bréchat

    (IDS - U1145 - Institut Droit et Santé - UPD5 - Université Paris Descartes - Paris 5 - INSERM - Institut National de la Santé et de la Recherche Médicale)

Abstract

The medical convention signed in 2011 introduced a pay-for-performance (P4P) mechanism in medical compensation : in P4P. Doctors receive monetary incentives for achieving targets on predefined performance measures – in terms of quality of care and financial savings. The aim of this paper is to assess the French P4P with an original study on Ile-de-France physicians. We test the hypothesis that medical performance is partly dependant on composition of patient base – performance is then partly independent of his implication and responsibility. Our results show that doctors having more sick patients have more chances to obtain a good performance. Furthermore, doctors having more poor patients have fewer chances to obtain a good performance.

Suggested Citation

  • Nicolas da Silva & Laetitia Fleury & Philippe Batifoulier & Jean-Louis Vanhille & Pierre-Henri Bréchat, 2015. "The link between medical performance and composition of patient base: An econometric study of Ile-de-France doctors [Les liens entre la performance médicale et la composition de la patientèle : une," Post-Print hal-01386031, HAL.
    • Handle: RePEc:hal:journl:hal-01386031
    DOI: 10.3917/jgem.153.0191
    Note: View the original document on HAL open archive server: https://hal.parisnanterre.fr/hal-01386031
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